ST LOUIS NEUROLOGY ASSOCIATES INC (NPI# 1811200983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811200983 |
Entity Type | Organization |
Organization Name | ST LOUIS NEUROLOGY ASSOCIATES INC |
Practice Address |
12810 Tesson Ferry Rd Saint Louis MO 63128-2913 |
Mailing Address |
Po Box 4340 Saint Louis MO 63123-0140 |
Practice Telephone | 3148495665 |
Practice Fax Number | 3148490274 |
Mailing Telephone | 3148495665 |
Mailing Fax Number | 3148490274 |
Enumeration Date | 2010-07-19 |
Last Update Date | 2011-05-31 |
Authorized Official Name | DR. JOHN J O'KEEFE III (PRESIDENT) |
Authorized Official Telephone | 3148495665 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
R7491 | MO | Allopathic & Osteopathic Physicians |
Street Address |
12810 TESSON FERRY RD |
City | SAINT LOUIS |
State | MO |
Zip Code | 63128-2913 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
Find all providers in zip 63128 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750764866 | Jeffrey Calvin | Psychiatry & Neurology | 621 S New Ballas Rd Ste 6005b, Saint Louis, MO 63141-8273 | 2015-07-07 |
1871848853 | Michael David White | Psychiatry & Neurology | 4901 Forest Park Ave, 2nd Floor Medicine Clinic, Center for Outpatient Health, Saint Louis, MO 63108 | 2012-07-17 |
1144412339 | Gabriela Sales De Bruin | Psychiatry & Neurology | 212 N Kingshighway Blvd Ste 237, Ste 237, Saint Louis, MO 63108-1266 | 2007-08-13 |
1568501245 | Bennett David Frank | Psychiatry & Neurology | 969 N Mason Rd Ste 155, Saint Louis, MO 63141-6387 | 2007-02-06 |
1538253430 | J Mario V Alonso Jr Inc | Psychiatry & Neurology | 2716 Telegraph Rd, Suite 105, Saint Louis, MO 63125-4078 | 2006-10-03 |
1871511329 | John Carl Morris | Psychiatry & Neurology | 4488 Forest Park Ave Ste 160, Ste 160, Saint Louis, MO 63108-2215 | 2006-07-17 |
1154367282 | Brent Alan Huffman | Psychiatry & Neurology | 3009 N Ballas Rd Ste 102b, Saint Louis, MO 63131-2343 | 2006-06-20 |
1073555140 | Dante O Garrido | Psychiatry & Neurology | 12963 Walnutway Ter, Saint Louis, MO 63146-6047 | 2006-06-12 |
1902858251 | Annick Olga Weber | Psychiatry & Neurology | 20 Archbishop May Dr, Saint Louis, MO 63119-5738 | 2006-05-16 |
1972569085 | Beau M Ances | Psychiatry & Neurology | 4921 Parkview Pl Ste 6c, Ste 6c, Saint Louis, MO 63110-1032 | 2006-04-26 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63128 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.